Bryan Mentry, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R055969 Issued in NY

Practice address

4500 Millennium Dr
Suite I
Geneseo, NY 14454-1192

Phone

(585) 243-4592

Fax

(585) 243-3668

NPI assigned

Dec 18, 2015

Last updated

Dec 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1861857781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MILLENNIUM DR",
            "address_2": "SUITE I",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541192",
            "telephone_number": "585-243-4592",
            "fax_number": "585-243-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MILLENNIUM DR",
            "address_2": "SUITE I",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541192",
            "telephone_number": "585-243-4592",
            "fax_number": "585-243-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTRY",
        "first_name": "BRYAN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie McCarthy, LCSW-R
• Carole P McClary, NP
• Carolyn McDonough
• Mario Melidona, P.T.
• Marco D Mennucci, RPH
• Meridian Psychology Practice, PLLC
• Howard D. Merzel, M.D.
• David Metsinger, RN
• Michelle Ditusa OD & George T Cornwell (Michelle DiTusa, OD)
• Lee Germain Millar, SLP

• Clinical Social Worker in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.